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Pulmonary arterial hypertension in a patient with stage II sarcoidosis and Hashitoxicosis

S. Ocak^*, F. Feoli^#,¶, J. Fastrez, D. Butenda^*, C. Litvine, I. M. Colin and J-P d'Odémont^*

Depts of ^* Pneumology, ^# Anatomic Pathology, Thoracic Surgery, and Endocrinology, CHR Medical Center Saint-Joseph-Warquignies, Mons, and ^¶ Institut Bordet (ULB), Brussels, Belgium.

CORRESPONDENCE: J-P d'Odémont, Dept of Pneumology, CHR Medical Center Saint-Joseph-Warquignies, Avenue Baudouin de Constantinople, 5, B-7000 Mons, Belgium. E-mail: dod{at}skynet.be

Received: February 7, 2009
Accepted February 9, 2009

ABSTRACT

Although pulmonary arterial hypertension is usually associated with advanced stages of sarcoidosis, its occurrence in early stage disease is rare. Herein, a case of associated pulmonary arterial hypertension in the setting of Hashitoxicosis and stage II pulmonary sarcoidosis is reported. The case of associated pulmonary arterial hypertension occurred in a young female without clinically significant medical history and who completely recovered after receiving oral corticotherapy only. Furthermore, this case report suggests the presence of an interaction between pulmonary arterial hypertension, sarcoidosis and Hashitoxicosis.

KEYWORDS: Corticosteroids, Hashitoxicosis, pulmonary arterial hypertension, sarcoidosis, thyroid disorders